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Most people who have not been previously vaccinated should receive a post‑exposure rabies vaccine course given on days 0, 3, 7 and 14; immunocompromised people usually receive a fifth dose on day 28 and severe (category III) bites also require a one‑time dose of rabies immune globulin (RIG).
⚕️ Recommended vaccine schedule
- If not previously vaccinated: rabies vaccine on Days 0, 3, 7, 14 (this is standard post‑exposure prophylaxis, PEP — post‑exposure prophylaxis).
- If previously vaccinated (pre‑exposure or prior PEP): 2 doses on Days 0 and 3; RIG (rabies immune globulin) is usually not given.
- If immunocompromised or as directed by a doctor: add a Day 28 (5th) vaccine dose.
🏥 Immediate actions
- Clean the wound with soap and running water for 15 minutes and apply antiseptic.
- See an emergency doctor or infectious disease specialist now for wound assessment, RIG if indicated, and to start the vaccine schedule.
- Ensure tetanus status is up to date and follow your doctor’s advice on wound care and antibiotics if needed.
⚠️ Warning signs — seek emergency care now
- Rapidly worsening wound, heavy bleeding, or signs of wound infection (redness spreading, pus, fever).
- Any neurological symptoms (confusion, difficulty swallowing, severe agitation).
- Bite on face, mouth, or neck (higher risk) or if you cannot get prompt medical evaluation.
🩺 FOLLOW_UP
- How long ago did the rat bite occur?
- Was the animal available for observation or testing?
- Have you ever received rabies vaccine before (pre‑exposure or PEP)?
If you want, I can explain the difference between RIG and the vaccine or the intradermal vs intramuscular schedules.